Provider Demographics
NPI:1861507709
Name:LEON ABRAM MD PA
Entity Type:Organization
Organization Name:LEON ABRAM MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LEON
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-362-9777
Mailing Address - Street 1:950 NW 9TH CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-2214
Mailing Address - Country:US
Mailing Address - Phone:561-362-9777
Mailing Address - Fax:561-362-0339
Practice Address - Street 1:950 NW 9TH CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-2214
Practice Address - Country:US
Practice Address - Phone:561-362-9777
Practice Address - Fax:561-362-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0053772207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME0053772OtherFLORIDA MEDICAL LICENSE #
FL08683OtherBCBS PROVIDER NUMBER
FLME0053772OtherFLORIDA MEDICAL LICENSE #
FL08683Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER